HSWAGATA BUDDHA TOOTH RELICS PRESERVATION MUSEUM
SUSPICIOUS ACTIVITY / MISINFORMATION REPORT FORM
Form Code: HSW-F38
Case Number: __________________________
Date: ____ / ____ / ______
1. PERSON REPORTING
1.1 Name: _________________________________
1.2 Role:
[ ] Staff [ ] Volunteer
[ ] Visitor [ ] Other: _______________
1.3 Contact (phone / email):
______________________________________
2. TYPE OF CASE
(tick one or more)
[ ] Suspicious visitor behaviour
[ ] Suspicious message (email, chat, letter)
[ ] Fake story about relics or museum
[ ] False social media post
[ ] Threat to relics or staff
[ ] Other: _______________________________
3. WHERE DID IT HAPPEN?
3.1 Place or platform:
[ ] Inside museum
[ ] Outside museum
[ ] Facebook / social media
[ ] Messaging app
[ ] Other: ____________________________
3.2 Address / link (if online):
______________________________________
4. DESCRIPTION OF ACTIVITY / MESSAGE
(What exactly did you see or hear?)
___________________________________________
___________________________________________
___________________________________________
5. EVIDENCE
5.1 Screenshots / photos:
[ ] Attached
[ ] Not available
5.2 Other evidence (documents, audio, etc.):
______________________________________
6. RISK ASSESSMENT
6.1 Risk to relics:
[ ] Low [ ] Medium [ ] High
6.2 Risk to staff / visitors:
[ ] Low [ ] Medium [ ] High
6.3 Risk to museum reputation / peace:
[ ] Low [ ] Medium [ ] High
7. SUGGESTED ACTION
[ ] Fact-check quietly
[ ] Issue a clarification
[ ] Inform security / police
[ ] Block / report account online
[ ] Watch only (no action now)
[ ] Other: _______________________________
8. HANDLER / SUPERVISOR USE
Received By:
Name: ______________________________________
Role: ______________________________________
Signature: ____________ Date: ____/____/____
Final Notes:
___________________________________________
___________________________________________
